Organization
BRIGHT LEGACY CARE LLC
Active
Other names
Bright Legacy Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MUKAMUZIMA AIMEE INGABIRE SR. (CEO)
(207) 239-6132
Entity
Organization
Contact information
Practice address
17 CARLETON ST UNIT 203, PORTLAND, ME 04102-3469
(207) 239-6132
Mailing address
17 CARLETON ST UNIT 203, PORTLAND, ME 04102-3469
(207) 239-6132
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/29/2023
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